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HLTH 349-D02 1 Article Review 4: “Health Care Reform and Equity: Promise, Pitfalls, and Prescriptions” Misty L. Bruce HLTH 349-D02 Liberty University
HLTH 349-D02 2 Health Care Reform and Equity: Promise, Pitfalls, and Prescriptions A continuing deficiency in the U.S. healthcare system is an inability to implement equitability efficiently and effectively. An examination of Dr. Fiscella's article, "Health Care Reform and Equity: Promise, Pitfalls, and Prescriptions," highlights a lack of advancement made in healthcare reform. The disproportions involving access to care has led the United States to see a continual increase in the number of uninsured or underinsured citizens. At the time the article was written in 2011, The Affordable Care Act (ACA) was falling short of its goal to expand insurance coverage for 23 million uninsured, and Dr. Fiscella stressed two significant difficulties preventing reform, "aligning health care resources with patient needs and revitalization of primary care, primarily for underserved patients" [ CITATION KFi11 \l 1033 ]. Inequalities, often with grave results, in the healthcare system stem from demographic markers to include age, race, social economic status, sexual orientation, gender and ethnicity. The very nature of these disparities and the stereotypes which surround them isolate individuals from equitable care. The

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